Organization
SUBHASH C BOWRY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUBHASH C BOWRY MD (PRESIDENT OWNER)
(781) 324-6700
Entity
Organization
Contact information
Practice address
440 PLEASANT ST, MALDEN, MA 02148-8103
(781) 324-6700
(781) 322-0505
Mailing address
440 PLEASANT ST, MALDEN, MA 02148-8103
(781) 324-6700
(781) 322-0505
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92015889
—
MA
01
—
M12375
MEDICARE GROUP
MA
Enumeration date
01/02/2007
Last updated
08/24/2010
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